<div id="navigation">
	<a href="{U_HOME}">{DOMAIN} cPanel Index</a> :: <a href="{U_CGI_CENTER}">CGI Center</a> :: Countdown 
</div>
<br />
<form method="{S_METHOD}" action="{S_ACTION}">
	<table align="center">
		<tr>
			<td>
				TimeZone 
			</td>
			<td>
				<select name="TZ" size="1"> 
					<option value="" selected>
						Local Time 
					</option>
					<option value="-12">
						GMT-1200 
					</option>
					<option value="-11">
						GMT-1100 
					</option>
					<option value="-10">
						GMT-1000 
					</option>
					<option value="-9">
						GMT-0900 
					</option>
					<option value="-8">
						GMT-0800 
					</option>
					<option value="-7">
						GMT-0700 
					</option>
					<option value="-6">
						GMT-0600 
					</option>
					<option value="-5">
						GMT-0500 
					</option>
					<option value="-4">
						GMT-0400 
					</option>
					<option value="-3">
						GMT-0300 
					</option>
					<option value="-2">
						GMT-0200 
					</option>
					<option value="-1">
						GMT-0100 
					</option>
					<option value="-0">
						GMT-0000 
					</option>
					<option value="1">
						GMT+0100 
					</option>
					<option value="2">
						GMT+0200 
					</option>
					<option value="3">
						GMT+0300 
					</option>
					<option value="4">
						GMT+0400 
					</option>
					<option value="5">
						GMT+0500 
					</option>
					<option value="6">
						GMT+0600 
					</option>
					<option value="7">
						GMT+0700 
					</option>
					<option value="8">
						GMT+0800 
					</option>
					<option value="9">
						GMT+0900 
					</option>
					<option value="10">
						GMT+1000 
					</option>
					<option value="11">
						GMT+1100 
					</option>
					<option value="12">
						GMT+1200 
					</option>
				</select> 
			</td>
		</tr>
		<tr>
			<td>
				Month 
			</td>
			<td>
				<select name="month" size="1"> 
					<option value="1">
						Jan 
					</option>
					<option value="2">
						Feb 
					</option>
					<option value="3">
						Mar 
					</option>
					<option value="4">
						Apr 
					</option>
					<option value="5">
						May 
					</option>
					<option value="6">
						Jun 
					</option>
					<option value="7">
						Jul 
					</option>
					<option value="8">
						Aug 
					</option>
					<option value="9">
						Sep 
					</option>
					<option value="10">
						Oct 
					</option>
					<option value="11">
						Nov 
					</option>
					<option value="12">
						Dec 
					</option>
				</select> 
			</td>
		</tr>
		<tr>
			<td>
				Hour 
			</td>
			<td>
				<select name="hour" size="1"> 
					<option value="1">
						1 
					</option>
					<option value="2">
						2 
					</option>
					<option value="3">
						3 
					</option>
					<option value="4">
						4 
					</option>
					<option value="5">
						5 
					</option>
					<option value="6">
						6 
					</option>
					<option value="7">
						7 
					</option>
					<option value="8">
						8 
					</option>
					<option value="9">
						9 
					</option>
					<option value="10">
						10 
					</option>
					<option value="11">
						11 
					</option>
					<option value="12">
						12 
					</option>
					<option value="13">
						13 
					</option>
					<option value="14">
						14 
					</option>
					<option value="15">
						15 
					</option>
					<option value="16">
						16 
					</option>
					<option value="17">
						17 
					</option>
					<option value="18">
						18 
					</option>
					<option value="19">
						19 
					</option>
					<option value="20">
						20 
					</option>
					<option value="21">
						21 
					</option>
					<option value="22">
						22 
					</option>
					<option value="23">
						23 
					</option>
					<option value="24">
						24 
					</option>
				</select> 
			</td>
		</tr>
		<tr>
			<td>
				Day 
			</td>
			<td>
				<select name="day" size="1"> 
					<option value="1">
						1 
					</option>
					<option value="2">
						2 
					</option>
					<option value="3">
						3 
					</option>
					<option value="4">
						4 
					</option>
					<option value="5">
						5 
					</option>
					<option value="6">
						6 
					</option>
					<option value="7">
						7 
					</option>
					<option value="8">
						8 
					</option>
					<option value="9">
						9 
					</option>
					<option value="10">
						10 
					</option>
					<option value="11">
						11 
					</option>
					<option value="12">
						12 
					</option>
					<option value="13">
						13 
					</option>
					<option value="14">
						14 
					</option>
					<option value="15">
						15 
					</option>
					<option value="16">
						16 
					</option>
					<option value="17">
						17 
					</option>
					<option value="18">
						18 
					</option>
					<option value="19">
						19 
					</option>
					<option value="20">
						20 
					</option>
					<option value="21">
						21 
					</option>
					<option value="22">
						22 
					</option>
					<option value="23">
						23 
					</option>
					<option value="24">
						24 
					</option>
					<option value="25">
						25 
					</option>
					<option value="26">
						26 
					</option>
					<option value="27">
						27 
					</option>
					<option value="28">
						28 
					</option>
					<option value="29">
						29 
					</option>
					<option value="30">
						30 
					</option>
					<option value="31">
						31 
					</option>
				</select> 
			</td>
		</tr>
		<tr>
			<td>
				Year
			</td>
			<td>
				<select name="year" size="1"> 
					<option value="1997">
						1997 
					</option>
					<option value="1998">
						1998 
					</option>
					<option value="1999">
						1999 
					</option>
					<option value="2000">
						2000 
					</option>
					<option value="2001">
						2001 
					</option>
					<option value="2002">
						2002 
					</option>
					<option value="2003">
						2003 
					</option>
					<option value="2004">
						2004 
					</option>
					<option value="2005" selected>
						2005 
					</option>
					<option value="2006">
						2006 
					</option>
					<option value="2007">
						2007 
					</option>
					<option value="2008">
						2008 
					</option>
					<option value="2009">
						2009 
					</option>
					<option value="2010">
						2010 
					</option>
					<option value="2011">
						2011 
					</option>
					<option value="2012">
						2012 
					</option>
				</select> 
			</td>
		</tr>
		<tr align="center">
			<td colspan="2">
				<input type="submit" value="Create Countdown"> 
			</td>
		</tr>
	</table>
</form>
